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Nurse navigator program for high-risk patients to reduce hospital readmissions

Tests a nurse navigator education program in high-risk adults to lower hospital readmissions.

Plain-language title generated from the registry record
Registry title: A Study of the Effect of a Nurse Navigator Program on High Risk Patients

Key facts

Where
Jacksonville, United StatesSee the site

Where in United States

  • Mayo Clinic FloridaJacksonville, United StatesNo longer taking part

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?
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Trial details

Who runs it
Mayo Clinic
Trial code
NCT05592847
Record updated
19 March 2026
Original description
The purpose of this study is to examine if educational intervention in high risk patients can lead to decreased hospital readmissions when compared to patients who are not in the intervention program. Additionally, to determine patient satisfaction with the educational program.Read full original descriptionShow less

The Effect of a Nurse Navigator Program on Readmission Rates for Patients With Elevated BMI, COPD, CHF, Dialysis Use, and H/o Alcohol Abuse

The purpose of this study is to examine if educational intervention in high risk patients can lead to decreased hospital readmissions when compared to patients who are not in the intervention program. Additionally, to determine patient satisfaction with the educational program.

Inclusion: Require total or partial hip or knee replacement and have one or more of the following diagnosis: Heart Failure (HF); Chronic obstructive pulmonary disease (COPD); Dialysis; Alcohol Abuse; Low BMI.

Exclusion: Decrease cognitive capacity to consent to the study.

ClinicalTrials.gov NCT05592847